| NPI | 1457717035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER J LOMEL Owner 907-222-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 101094) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |